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Name: Erich Samuel Cohn
Date and place of birth: 28 August 1893
Original address: Noorder Amstellaan 23 A, Amsterdam
Religion: Joods/Israëlitisch
Hiding address: Sietse de Haan, 241, Echtenpolder (Bantega)
District of the LO: Sneek
Brought to reception address by: Bontekoe a.d. Bontekoe, Boskoop
Brought to hiding address by: Mevrouw Spits
In rayon geplaatst: Bontekoe, Slager, Boskoop, a.d. Zijde.